Dr. Michael Rohwer

The Fostering Hope Initiative works to repair problems at their root through a collaborative approach on the ground.

This article is the fourth in a five-part series. It follows “Purpose driven self-organizing healthcare” which explained what an adaptive delivery system might look at. This article describes the insurance model necessary to sustain it.

This article is the third in a five-part series about a new model for sustainable healthcare delivery. The last article “Ashby’s law and the first step to affordable healthcare” explained why we need delivery networks as adaptable as delivery’s environment.

This article follows “A tale of two systems”, published in a prior edition of The Lund Report. This article explains the first fundamental change necessary for successful management of healthcare delivery. It is also the first principle of the Curandi Model™, a “systems thinking” approach to healthcare reform. OPINION-- Within healthcare delivery the patient-centered primary care home is improving care and lowering cost. And, in social services, co-location with clinical services similarly improves outcomes and lower cost. Why aren’t these innovative micro-system improvements resulting in premium decreases?

To create real and lasting change, we must question our fundamental assumptions.